Clinic
Caresouth Carolina, INC.
Caresouth Carolina, INC. was paid $12.35M by Medicaid between Jan 2018 and Oct 2024, across 91 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 37% of everything it billed.
33Billing provider infoCARESOUTH CAROLINA, INC.
HARTSVILLE, SC 29550
HARTSVILLE, SC 29550
33aNPI1720082571assigned 06/09/2005
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$12.35M
24GClaims130,781
24DCodes billed91
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in South Carolina
Rank by total paid#3 of 85
Median peer was paid$746K
This provider vs. median17×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official LEWIS, ANN controls 14+ related entities in our dataset. Read more
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 15,469 | $1.36M | |
| 2019 | 18,082 | $1.87M | |
| 2020 | 11,611 | $1.30M | |
| 2021 | 19,950 | $1.99M | |
| 2022 | 29,996 | $1.97M | |
| 2023 | 23,923 | $2.21M | |
| 2024incomplete | 11,750 | $1.66M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 37% | 21,205 | 18,808 | $4.63M |
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 14% | 11,581 | 8,643 | $1.77M |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 13% | 7,352 | 7,345 | $1.65M |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 8.3% | 4,195 | 4,188 | $1.02M |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 6.8% | 3,505 | 3,331 | $838K |
| 99383 | 5.0% | 2,950 | 2,942 | $623K | |
| 98941 | Chiropractic manipulative treatment; spinal, 3-4 regions | 2.0% | 1,140 | 928 | $253K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.8% | 1,040 | 909 | $218K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 1.7% | 4,308 | 3,926 | $207K |
| 99384 | 1.5% | 875 | 875 | $182K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 1.1% | 628 | 628 | $132K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 1.0% | 574 | 428 | $126K |
79 more codes
| 90837 | Psychotherapy session, about an hour | <1% | 512 | $115K |
| 97802 | <1% | 5,753 | $90K | |
| 97803 | <1% | 5,706 | $67K | |
| M0243 | Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring | <1% | 228 | $62K |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | <1% | 2,898 | $62K |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 183 | $40K |
| 99490 | Ccm add 20min | <1% | 1,164 | $35K |
| G9153 | Mapcp demonstration - physician incentive pool | <1% | 920 | $32K |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | <1% | 1,016 | $25K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 109 | $23K |
| M0247 | Intravenous infusion, sotrovimab, includes infusion and post administration monitoring | <1% | 52 | $19K |
| 90791 | Psychiatric diagnostic evaluation | <1% | 67 | $14K |
| 99382 | <1% | 64 | $14K | |
| 92552 | <1% | 3,148 | $13K | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 1,187 | $11K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 3,685 | $10K |
| 96127 | <1% | 7,636 | $7K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 30 | $5K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 1,259 | $5K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 24 | $5K |
| M0245 | Intravenous infusion, bamlanivimab and etesevimab, includes infusion and post administration monitoring | <1% | 17 | $5K |
| M0222 | Intravenous injection, bebtelovimab, includes injection and post administration monitoring | <1% | 13 | $5K |
| 99177 | <1% | 4,321 | $5K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 1,093 | $4K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 1,479 | $4K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 1,312 | $3K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 16 | $3K |
| 0012A | <1% | 74 | $3K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 387 | $3K |
| 0011A | <1% | 41 | $2K | |
| 82947 | <1% | 1,333 | $1K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 1,146 | $1K |
| 96365 | Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour | <1% | 79 | $1K |
| 87807 | <1% | 335 | $1K | |
| 90461 | <1% | 137 | $1K | |
| 81003 | <1% | 1,782 | $950.97 | |
| 90674 | <1% | 70 | $871.52 | |
| 0071A | <1% | 20 | $800.00 | |
| 87806 | <1% | 89 | $750.41 | |
| 99406 | <1% | 87 | $722.73 | |
| 99441 | <1% | 73 | $622.38 | |
| 0072A | <1% | 12 | $480.00 | |
| G8752 | Most recent systolic blood pressure < 140 mmhg | <1% | 2,210 | $450.15 |
| Q3014 | Telehealth originating site facility fee | <1% | 28 | $299.68 |
| 81025 | <1% | 108 | $290.92 | |
| 90651 | <1% | 52 | $224.16 | |
| 86703 | <1% | 56 | $176.64 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 198 | $162.98 |
| 82570 | <1% | 127 | $155.38 | |
| 99051 | <1% | 14 | $148.50 | |
| 82044 | <1% | 121 | $132.30 | |
| 94760 | <1% | 1,271 | $92.18 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 92 | $59.52 |
| 85018 | <1% | 70 | $54.94 | |
| J7050 | Infusion, normal saline solution, 250 cc | <1% | 121 | $50.92 |
| 92551 | <1% | 24 | $45.66 | |
| 82948 | <1% | 72 | $39.60 | |
| 90686 | <1% | 73 | $16.42 | |
| 99173 | <1% | 4,680 | $3.05 | |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | <1% | 2,209 | $0.16 |
| G8731 | Pain assessment using a standardized tool is documented as negative, no follow-up plan required | <1% | 884 | $0.15 |
| 1160F | 0% | 2,033 | $0.00 | |
| 90715 | 0% | 81 | $0.00 | |
| 1159F | 0% | 2,361 | $0.00 | |
| G8730 | Pain assessment documented as positive using a standardized tool and a follow-up plan is documented | 0% | 112 | $0.00 |
| 90670 | 0% | 89 | $0.00 | |
| 3078F | 0% | 110 | $0.00 | |
| 90633 | 0% | 78 | $0.00 | |
| 90658 | 0% | 23 | $0.00 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 29 | $0.00 |
| 99000 | 0% | 919 | $0.00 | |
| 1126F | 0% | 1,980 | $0.00 | |
| 3008F | 0% | 1,016 | $0.00 | |
| 1125F | 0% | 467 | $0.00 | |
| 90723 | 0% | 56 | $0.00 | |
| 36416 | 0% | 26 | $0.00 | |
| 90647 | 0% | 15 | $0.00 | |
| 99429 | 0% | 47 | $0.00 | |
| 3074F | 0% | 19 | $0.00 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialLEWIS, ANN (CEO)
| Provider | Location | Paid |
|---|---|---|
| Caresouth Carolina INC | Bennettsville, SC | $7.29M |
| Caresouth Carolina, INC | Society Hill, SC | $4.39M |
| Caresouth Carolina, INC | Bishopville, SC | $3.19M |
| Caresouth Carolina, INC | Dillon, SC | $2.33M |
| Caresouth Carolina, INC | Chesterfield, SC | $2.28M |
| Caresouth Carolina INC | Latta, SC | $2.25M |
| Caresouth Carolina, INC | Bennettsville, SC | $1.82M |
| Caresouth Carolina, INC | Cheraw, SC | $1.72M |
| Caresouth Carolina INC | Society Hill, SC | $1.70M |
| Caresouth Carolina, INC. | Mc Coll, SC | $1.66M |
| Caresouth Carolina INC | Bennettsville, SC | $669K |
| Caresouth Carolina, INC. | Lake View, SC | $78K |
| Caresouth Carolina INC | Dillon, SC | $4K |
| Caresouth Carolina INC | Hartsville, SC | $2K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.